Dr Kali Etheredge, DPM | |
701 Park Ave, Lake Park, FL 33403-2503 | |
(561) 848-7722 | |
(561) 848-7812 |
Full Name | Dr Kali Etheredge |
---|---|
Gender | Female |
Speciality | Podiatry |
Experience | 20 Years |
Location | 701 Park Ave, Lake Park, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063429702 | NPI | - | NPPES |
PO3255 | Other | FL | STATE LICENSE |
POD001044 | Other | GA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | POD001044 (Georgia) | Secondary |
213E00000X | Podiatrist | PO3255 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary's Medical Center | West palm beach, FL | Hospital |
Good Samaritan Medical Center | West palm beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palm Beach Foot And Ankle Inc | 1456379056 | 8 |
Provider Name | Palm Beach Foot & Ankle Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316035454 PECOS PAC ID: 1456379056 Enrollment ID: O20051102000629 |
Mailing Address | Practice Location Address |
---|---|
Dr Kali Etheredge, DPM 11380 Prosperity Farms Rd Ste 221e, Palm Beach Gardens, FL 33410-3465 Ph: (561) 848-7722 | Dr Kali Etheredge, DPM 701 Park Ave, Lake Park, FL 33403-2503 Ph: (561) 848-7722 |
Dr. Henry Kay Stark, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave, Lake Park, FL 33403 Phone: 561-284-6886 Fax: 561-627-2199 | |
Mobile Wound Care Associates, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, Lake Park, FL 33403 Phone: 561-848-7722 | |
Lake Park Podiatry Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, Lake Park, FL 33403 Phone: 561-294-6886 Fax: 561-627-2199 |